하악전돌증 환자에서 기관내 삽관을 위한 기도평가에 관한 연구
Airway Evaluation for Endotracheal Intubation of Mandibular Prognathic Patient
이승주, 김현정, 염광원,
소속 상세정보
이승주 ( Lee Sung-Ju ) - 서울대학교 치과대학 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과대학 치과마취과학교실
염광원 ( Yeom Kwang-Won ) - 서울대학교 치과대학 치과마취과학교실
KMID : 0980220030030010028
Abstract
Background: The fundamental responsibility of an anesthesiologist is to maintain adequate gas exchange. Failure to maintain a patent airway can result in brain damage or death. Generally, in patients with mandibular prognathism, who have the protruded mandible, the mask ventilation was thought to be not easy. The purpose of this study was to observe the degree of the difficulty of airway management in mandibular prognathism using some anatomic criteria for defining and grading difficulty of airway and difficulty of endotracheal intubation with direct laryngospoce.
Methods: The observations and measurements are done to the 54 patients with mandibular prognathism, who were scheduled for corrective esthetic surgery. The case study is done to the 30 patients with normal mandible for control group. In all patients, mouth opening distance (MOD), mouse opening angle (MOA), mandibular length (ML), Mandibular depth (MD), thyromental distance (TMD), thyromental area (TMA), Mallampati grades, and Cormack and Lehane grades are measured. T-test and Chi-square test are done (P<0.05).
Results: In the mandibular prognathism cases, the measurements of MD, TMD and TMA are more greater than those of controls (P<0.05). Mallampati grades with tongue thrust are higher in the female mandibular prognathism cases than those of female controls. Most of the grades of the mandibular prognathism cases with Cormack and Lehane grading system are Ⅰ or Ⅱ being easy intubation cases (P<0.05)
Conclusions: In the patients of mandibular prognathism, the intubation with laryngoscope will be easer than that of normal mandible in general. It is for that their laryngeal aperture can be easily visible when the laryngoscope are used.
키워드
Airway evaluation; General anesthesia; Intubation; Prognathism
원문 및 링크아웃 정보
등재저널 정보